How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $23.44 | Facility | None | $5.01 | $8.13 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $8.91 | Professional | None | $4.37 | $4.37 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $25.12 | Facility | None | $9.55 | $9.55 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $19.95 | Professional | None | $4.79 | $6.31 | $19.95 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.89 Typical High $63.10 | Facility | None | $9.33 | $20.89 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $13.18 Typical High $64.57 | Professional | None | $6.61 | $13.18 | $64.57 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $9.55 Typical High $21.88 | Facility | None | $3.98 | $9.55 | $21.88 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $6.76 Typical High $18.62 | Professional | None | $4.57 | $6.76 | $18.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $10.47 | Professional | None | $6.17 | $9.12 | $10.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.76 Median $23.99 Typical High $30.90 | Facility | None | $7.76 | $23.99 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $257.04 | Facility | None | $9.55 | $17.38 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $32.36 | Professional | None | $7.76 | $7.76 | $32.36 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.55 Typical High $12.02 | Facility | None | $8.71 | $9.55 | $12.02 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $14.45 | Professional | None | $4.07 | $5.75 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.31 Median $7.76 Typical High $17.78 | Facility | None | $6.31 | $7.76 | $17.78 |
Univera Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $10.72 | Professional | None | $6.31 | $9.12 | $10.72 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.14 Typical High $4.07 | Professional | 52 · Reduced service | $2.14 | $2.14 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.62 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.62 |
Where New York sits
The same service costs 8.3 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 41st of 51
$7.76
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.